Contributors to Suicidal Ideation Among Bipolar Patients With and Without a History of Suicide Attempts

  1. Michael H. Allen MD1,*,
  2. Cheryl A. Chessick MD1,
  3. David J. Miklowitz PhD2,
  4. Joseph F. Goldberg MD3,
  5. Stephen R. Wisniewski PhD4,
  6. Sachiko Miyahara MS4,
  7. Joseph R. Calabrese MD5,
  8. Lauren Marangell MD6,
  9. Mark S. Bauer MD7,
  10. Marshall R. Thomas MD8,
  11. Charles L. Bowden MD8,
  12. Gary S. Sachs MD9

Article first published online: 1 JUN 2011

DOI: 10.1521/suli.2005.35.6.671

Issue

Suicide and Life-Threatening Behavior

Suicide and Life-Threatening Behavior

Volume 35, Issue 6, pages 671–680, December 2005

Additional Information

How to Cite

Allen, M. H., Chessick, C. A., Miklowitz, D. J., Goldberg, J. F., Wisniewski, S. R., Miyahara, S., Calabrese, J. R., Marangell, L., Bauer, M. S., Thomas, M. R., Bowden, C. L. and Sachs, G. S. (2005), Contributors to Suicidal Ideation Among Bipolar Patients With and Without a History of Suicide Attempts. Suicide and Life-Threat Behavi, 35: 671–680. doi: 10.1521/suli.2005.35.6.671

Author Information

  1. 1

    University of Colorado Health Sciences Center;

  2. 2

    University of Colorado, Boulder and University of Colorado Health Sciences Center;

  3. 3

    The Zucker Hillside Hospital, North Shore Long Island Jewish Health System;

  4. 4

    University of Pittsburgh;

  5. 5

    Case Western Reserve University;

  6. 6

    Baylor College of Medicine;

  7. 7

    Brown Univesity

  8. 8

    University of Texas Health Science Center

  9. 9

    Harvard Medical School.

*Psychiatry, University of Colorado Health Science Center, University North Pavilion, 4455 East 12th Avenue, Denver, CO 8020; E-mail: michael.allen@uchsc.edu

Publication History

  1. Issue published online: 1 JUN 2011
  2. Article first published online: 1 JUN 2011
  3. Manuscript Received: February 23, 2004 Revision Accepted: April 30, 2005

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This study was designed to develop models for vulnerability to suicidal ideation in bipolar patients. Logistic regression models examined correlates of suicidal ideation in patients who had versus had not attempted suicide previously. Of 477 patients assessed, complete data on demographic, illness history, and personality variables were available on 243. The regression models achieved positive predictive values of 55% and 59% for the attempter (N = 92) and nonattempter groups (N = 151), respectively. Depression was cross-sectionally associated with suicidal ideation in both the attempter and nonattempter groups but made a smaller contribution among attempters. Poor psychosocial adaptation and the personality factor “openness” were stronger contributors to suicidal ideation among prior attempters while anxiety and extraversion appeared protective against ideation. Among nonattempters, depression, anxiety, and neuroticism were the predominant influences on suicidal ideation. Bipolar patients with suicidal ideation may benefit from different treatment strategies depending on their prior attempt status.

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